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ORIGINAL ARTICLE12-04-2023
Work and Mental Distress among Nurses in the Amazon Region of Brazil during the COVID-19 Pandemic
Revista Brasileira de Enfermagem. 2023;76(6):e20220792
Abstract
ORIGINAL ARTICLEWork and Mental Distress among Nurses in the Amazon Region of Brazil during the COVID-19 Pandemic
Revista Brasileira de Enfermagem. 2023;76(6):e20220792
DOI 10.1590/0034-7167-2022-0792
Views0See moreABSTRACT
Objective:
To assess the relationship between psychopathological symptoms and the social, clinical, and occupational profile of nurses in the Amazon region of Brazil during the COVID-19 pandemic.
Methods:
A descriptive cross-sectional online study was conducted in 2020 with 261 nurses. The Symptom Assessment Scale-40 was utilized.
Results:
The presence of pre-existing conditions before the pandemic was associated with psychotism (p=0.044). Experiencing constraints and/or violence at work during the pandemic was associated with somatization (p=0.025), and working hours were associated with anxiety (p=0.025). Nurses predominantly exhibited symptoms related to fear (33.7%), tension (34.5%), and a sense that something is wrong in the mind (22.6%).
Conclusions:
A significant association was observed between working hours and anxiety symptoms, the experience of constraints and/or violence at work during the COVID-19 pandemic and somatization symptoms, as well as between pre-existing conditions and psychotism symptoms related to COVID-19.
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ORIGINAL ARTICLE12-04-2023
Social representation of spiritual surgeries in Umbanda: culture, religion and contributions of nursing theory
Revista Brasileira de Enfermagem. 2023;76(6):e20220787
Abstract
ORIGINAL ARTICLESocial representation of spiritual surgeries in Umbanda: culture, religion and contributions of nursing theory
Revista Brasileira de Enfermagem. 2023;76(6):e20220787
DOI 10.1590/0034-7167-2022-0787
Views1See moreABSTRACT
Objective:
to analyze the social representation of spiritual surgeries in Umbanda for Bantu-Amerindian ritual mediums and their contributions to the cross-cultural care proposed by Madeleine Leininger.
Methods:
a descriptive-exploratory, qualitative study, supported by the procedural approach of Social Representation Theory and Transcultural Nursing Theory, carried out with 30 Umbanda mediums of the Bantu-Amerindian ritual through interviews, submitted to the Iramuteq software for lexical analysis.
Results:
mostly women, white, with an average of 46 years old and approximately 14 years of practice in Umbanda participated. The social representation of spiritual surgeries in Umbanda is objectified and anchored through a biomedical vision of care, encompassing a set of beliefs, values and practices as religious treatments, through faith, whose main objective is healing.
Final considerations:
spiritual surgeries are a form of transcultural care, according to Madeleine Leininger’s propositions, as they integrate the culture of a group through health care in Umbanda.
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ORIGINAL ARTICLE12-04-2023
Sexual behavior according to undergraduate students: perspective of cross-cultural nursing and intersectional framing
Revista Brasileira de Enfermagem. 2023;76(6):e20220786
Abstract
ORIGINAL ARTICLESexual behavior according to undergraduate students: perspective of cross-cultural nursing and intersectional framing
Revista Brasileira de Enfermagem. 2023;76(6):e20220786
DOI 10.1590/0034-7167-2022-0786
Views0See moreABSTRACT
Objective:
to discuss undergraduate students’ sexual behavior from the perspective of social markers and cross-cultural care proposed by Madeleine Leininger.
Methods:
descriptive-exploratory qualitative research, with a theoretical-philosophical foundation in the Transcultural Theory. Convenience sample was composed of 57 young people from two universities in Rio de Janeiro. The focus groups’ content were analyzed lexically using the IRAMUTEQ software.
Results:
four classes emerged: Young people’s sexual scripts: between the fear of an unplanned pregnancy and the risk of exposure to sexually transmitted infections; Affective relationships: trust in steady sexual partners, apparent sense of security and disuse of condoms; Sexual practices, gender and cultural determinants: distinction in men’s and women’s role; Sexual partnerships, negotiation of condom use and vulnerability to sexually transmitted infections.
Final considerations:
challenges are perceived for the attention to undergraduate students’ sexual health, who verbalized risky sexual behaviors due to sociocultural vulnerabilities.
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ORIGINAL ARTICLE12-04-2023
Hospital discharge planning in care transition of patients with chronic noncommunicable diseases
Revista Brasileira de Enfermagem. 2023;76(6):e20220772
Abstract
ORIGINAL ARTICLEHospital discharge planning in care transition of patients with chronic noncommunicable diseases
Revista Brasileira de Enfermagem. 2023;76(6):e20220772
DOI 10.1590/0034-7167-2022-0772
Views0See moreABSTRACT
Objective:
to analyze care transition in hospital discharge planning for patients with chronic noncommunicable diseases.
Method:
a qualitative study, based on the Care Transitions Intervention theoretical model, with four pillars of intervention, to ensure a safe transition. Twelve professionals participated in a public hospital in the countryside of São Paulo. Data were collected through observation, document analysis and semi-structured interviews.
Results:
there was a commitment of a multidisciplinary team to comprehensive care and involvement of family members in patient care. The documents facilitated communication between professionals and/or levels of care. However, the lack of time to prepare for discharge can lead to fragmented care, impairing communication and jeopardizing a safe transition.
Final considerations:
they were shown to be important elements in discharge planning composition, aiming to ensure a safe care transition, team participation with nurses as main actors, early discharge planning and family involvement.
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ORIGINAL ARTICLE12-04-2023
Psychometric Properties of an Instrument for Assessing University Administrators’ Knowledge on Gender-Based Violence
Revista Brasileira de Enfermagem. 2023;76(6):e20220770
Abstract
ORIGINAL ARTICLEPsychometric Properties of an Instrument for Assessing University Administrators’ Knowledge on Gender-Based Violence
Revista Brasileira de Enfermagem. 2023;76(6):e20220770
DOI 10.1590/0034-7167-2022-0770
Views0See moreABSTRACT
Objective:
To evaluate the factorial structure of the instrument measuring university administrators’ knowledge of gender-based violence.
Methods:
This cross-sectional methodological study was conducted from August to November 2020 with 101 university administrators. Data on demographic and functional characteristics were collected, and the “QUEST VBG UNIV” instrument was applied. Descriptive analysis was performed, the structure of the questionnaire was assessed using exploratory factor analysis (EFA), and the stability of the factors was verified through ORION and FDI tests.
Results:
Of the original 38 items across the 4 sections of the questionnaire, 19 were retained within 2 factors, with appropriate factor loadings. Factor 1 had an explained variance of 15.69%, and Factor 2 had an explained variance of 9.10%. The reliability was deemed satisfactory (ORION > 0.900, FDI > 0.900).
Conclusions:
The questionnaire presented a valid and reliable factorial structure for measuring knowledge about gender-based violence, thereby representing a suitable option for situational assessments in universities.
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12-04-2023
Maternal Concerns in Home Care for the Premature Newborn: An Integrative Review
Revista Brasileira de Enfermagem. 2023;76(6):e20220769
Abstract
Maternal Concerns in Home Care for the Premature Newborn: An Integrative Review
Revista Brasileira de Enfermagem. 2023;76(6):e20220769
DOI 10.1590/0034-7167-2022-0769
Views0See moreABSTRACT
Objective:
To identify and analyze the scientific literature, both national and international, concerning the primary maternal concerns about caring for premature newborns at home.
Methods:
This integrative review is based on the guiding question: “What scientific publications from 2012 to 2021 address maternal concerns about the care of premature newborns at home?”. Searches were conducted in the electronic databases: Embase, Medline, Web of Science, Lilacs, Scielo, and Cochrane Library.
Results:
A total of 21 articles were identified. The qualitative analysis showed that maternal concerns pertained to breastfeeding, hygiene, sunbathing practices, managing infant colic, identifying signs, symptoms, and clinical changes, temperature control, and the third phase of the kangaroo method.
Conclusions:
Maternal uncertainties underscore the importance of enhancing strategies focused on supporting families and ensuring continued care for neonates at home.
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ORIGINAL ARTICLE12-04-2023
Social representation of young people in higher education about sexually transmitted infections
Revista Brasileira de Enfermagem. 2023;76(6):e20220406
Abstract
ORIGINAL ARTICLESocial representation of young people in higher education about sexually transmitted infections
Revista Brasileira de Enfermagem. 2023;76(6):e20220406
DOI 10.1590/0034-7167-2022-0406
Views0See moreABSTRACT
Objective:
to analyze the social representations about sexually transmitted infections elaborated by undergraduate students.
Methods:
a descriptive, qualitative study, in the light of the structural approach of Social Representation Theory, carried out with 160 young undergraduate students, in the second half of 2019, in the city of Rio de Janeiro. Data were collected using a sociodemographic characterization questionnaire, knowledge and practices for preventing sexually transmitted infections, analyzed using descriptive statistics and a form of free evocations with the inducing term STD, analyzed using prototypical and similarity analysis.
Results:
the representation’s possible central nucleus is composed of lexicons aids, disease and HIV; the peripheral system by syphilis, sex, condoms, gonorrhea, prevention, infection, carelessness, HPV, herpes, ignorance, treatment, fear, unprotected-sex and danger.
Final considerations:
social thinking about sexually transmitted infections is characterized by their recognition as diseases, which require barrier prevention measures, associating with unsafe sexual practices that arouse fear.
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ORIGINAL ARTICLE12-04-2023
Translation, cross-cultural adaptation and validity study of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil
Revista Brasileira de Enfermagem. 2023;76(6):e20220281
Abstract
ORIGINAL ARTICLETranslation, cross-cultural adaptation and validity study of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil
Revista Brasileira de Enfermagem. 2023;76(6):e20220281
DOI 10.1590/0034-7167-2022-0281
Views0See moreABSTRACT
Objective:
to describe the translation, cross-cultural adaptation and validity process of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil.
Methods:
a methodological study that followed the translation, back-translation, expert committee assessment, and pre-test steps. The Content Validity Index (CVI) was calculated for both the judge population and the pre-test population. Four translators, seven expert judges in the field of child health and thirty participants in the pre-test, including parents, teachers and healthcare professionals, participated in the study.
Results:
in experts’ analysis (98.4%), a value of 100% of adequate assessments was obtained, and in the target population’s analysis (89.5%), there were 100% of adequate assessments. In both analyses, suggested adaptations were made.
Conclusios:
cross-cultural adaptation and content validity into Brazilian Portuguese of the “Play Nicely Program: The Healthy Discipline Handbook” were considered adequate for application in the target population.
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ORIGINAL ARTICLE11-11-2020
Follow-up of copper intrauterine device insertion by nurses: a prospective longitudinal study
Revista Brasileira de Enfermagem. 2020;73:e20200156
Abstract
ORIGINAL ARTICLEFollow-up of copper intrauterine device insertion by nurses: a prospective longitudinal study
Revista Brasileira de Enfermagem. 2020;73:e20200156
DOI 10.1590/0034-7167-2020-0156
Views0See moreABSTRACT
Objective:
to assess the complications, acceptability and causes of discontinuation of women who inserted copper intrauterine devices at a usual risk maternity for one year.
Methods:
a longitudinal-prospective study, lasting 12 months. Eighty-three women who received the device by a doctor or nurse in a maternity hospital between September and October 2017 participated. Data were collected at one, six and 12 months after insertion and underwent descriptive analysis.
Results:
most were inserted by nurses and 71 continued with the device. Women chose IUD use because there is no risk of forgetfulness, it is non-hormonal and effective. The 12 who discontinued use reported dysmenorrhea, menorrhagia, irregular bleeding, fall out, and endometrium perforation.
Conclusion:
the method was continued by most of participants and the complications found are common to the literature. There is a need to expand nursing training to increase the offer to the population.
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ORIGINAL ARTICLE05-03-2021
Nursing care for patient in postoperatory heart surgery in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(2):e20200163
Abstract
ORIGINAL ARTICLENursing care for patient in postoperatory heart surgery in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(2):e20200163
DOI 10.1590/0034-7167-2020-0163
Views0See moreABSTRACT
Objective:
To investigate the critical nodes related to nursing care for patients in the postoperative period of cardiac surgery.
Methods:
Exploratory study with a qualitative approach. Data collected through semi-structured interviews with 27 members of the nursing team working in the Intensive Care Unit. Material submitted to thematic analysis.
Results:
Three categories emerged: Flaws in the professional qualification for patient care in the postoperative period of cardiac surgery; Team challenges concerning specific patient care in the postoperative period of cardiac surgery; and (dis) organization of work in the Intensive Care Unit and its impact on nursing care for patients in the postoperative period of cardiac surgery.
Final considerations:
Given the identification of the critical nodes, the professionals presented suggestions to overcome daily difficulties: investments in strategies for Permanent Education in Health; creation of tools to guide patient assistance in the postoperative of cardiac surgery; and provision of adequate human resources.
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ORIGINAL ARTICLE11-15-2022
Reasons assigned to suicide attempts: adolescents’ perceptions
Revista Brasileira de Enfermagem. 2022;75:e20210163
Abstract
ORIGINAL ARTICLEReasons assigned to suicide attempts: adolescents’ perceptions
Revista Brasileira de Enfermagem. 2022;75:e20210163
DOI 10.1590/0034-7167-2021-0163
Views0See moreABSTRACT
Objective:
identify the reasons for attempting suicide from the perspective of adolescents.
Methods:
qualitative study conducted with ten adolescents who attempted suicide and were attending a Centro de Atenção Psicossocial Infanto-Juvenil located in a city in the south of Brazil. Semi-structured interviews were held in July 2020 using WhatsApp. Data were analyzed according to Minayo’s Content Thematic Analysis.
Results:
the adolescents’ reports listed the reasons that triggered suicide attempts, such as changes in the adolescents’ life cycle and violence, which led them to attempt suicide to solve problems.
Final considerations:
Data analysis revealed the reasons that triggered suicide attempts from the adolescents’ perspective and difficulties to cope with problems, probably explained by their lack of experience in dealing with frustrations and disappointments.
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REFLECTION10-26-2020
Covid-19 pandemic and the motivations for demanding health service in indigenous villages
Revista Brasileira de Enfermagem. 2020;73:e20200312
Abstract
REFLECTIONCovid-19 pandemic and the motivations for demanding health service in indigenous villages
Revista Brasileira de Enfermagem. 2020;73:e20200312
DOI 10.1590/0034-7167-2020-0312
Views0See moreABSTRACT
Objective:
To discuss the fundamental aspects in the establishment of preventive measures to tackle covid-19 among indigenous people in view of the motivations for seeking health care in villages of the Terra Indígena Buriti, Mato Grosso do Sul, Brazil.
Methods:
Theoretical-reflective study based on assumptions of the National Health System and previous ethnographic research that enabled the identification of the motivations to seek health care in Buriti villages.
Results:
Indigenous people seek health centers for health care programs assistance, treatment of cases they cannot resolve and to chat. Such motivations were the basis for discussing the indigenization process in the confrontation of the new coronavirus pandemic in indigenous lands.
Final considerations:
The motivations for seeking health care show the physical and social vulnerability of the Terena ethnicity. The effectiveness of the social isolation measure in the villages depends on the dialogue with indigenous leaders, professional engagement and intersectoral actions.
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ORIGINAL ARTICLE09-29-2022
Entrepreneurship among Undergraduate Nursing Students at a public university
Revista Brasileira de Enfermagem. 2022;75(1):e20201388
Abstract
ORIGINAL ARTICLEEntrepreneurship among Undergraduate Nursing Students at a public university
Revista Brasileira de Enfermagem. 2022;75(1):e20201388
DOI 10.1590/0034-7167-2020-1388
Views0See moreABSTRACT
Objectives:
to identify undergraduate nursing students’ entrepreneurial tendency at a public university.
Methods:
cross-sectional study, with a quantitative approach, with 135 undergraduate nursing students from a public university in the interior of the state of Rio Grande do Sul, Brazil. Data were collected using a socio-professional characterization form and a General measure of Enterprising Tendency test and analyzed using descriptive statistics.
Results:
among the five entrepreneurial tendencies, students presented results equal or above average in two dimensions: Drive and Determination (82.2%) and Need for Success (51.1%). The Creative tendency was the dimension with the highest percentage of participants below the average (68.9%). However, students in research or extension groups scored equal or above average in all five entrepreneurial tendencies.
Conclusions:
students showed low entrepreneurial tendencies, indicating the need for a broader approach to the subject in nursing education.
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ORIGINAL ARTICLE10-01-2022
Musculoskeletal symptoms in formal and informal caregivers of elderly people
Revista Brasileira de Enfermagem. 2022;75(2):e20210249
Abstract
ORIGINAL ARTICLEMusculoskeletal symptoms in formal and informal caregivers of elderly people
Revista Brasileira de Enfermagem. 2022;75(2):e20210249
DOI 10.1590/0034-7167-2021-0249
Views0See moreABSTRACT
Objective:
to evaluate musculoskeletal symptoms in formal and informal caregivers of elderly people, and check association with personal and work-related factors.
Methods:
this is a cross-sectional study. Instruments for assessment were the International Physical Activity Questionnaire, Self-Reporting Questionnaire-20, Borg’s effort perception scale and Nordic Musculoskeletal Questionnaire.
Results:
informal caregivers had been working for a longer time (60.2% vs. 41%), had more hours of work (37.4% >12h for day), less time off (85.4% vs. 2.5%) and lack of care guidelines (90.2%). The region with the most musculoskeletal symptoms was the spine and the greater dependence of the elderly, the greater the chances of developing musculoskeletal symptoms (OR= 1.3, 95% CI= 1.1-1.6, p <0.05).
Conclusion:
personal and work-related factors were more prevalent in informal group and the elderly person’s dependence interferes with the increase in musculoskeletal symptoms of caregivers.
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ORIGINAL ARTICLE09-21-2020
Contexts of vulnerabilities experienced by adolescents: challenges to public policies
Revista Brasileira de Enfermagem. 2020;73:e20190224
Abstract
ORIGINAL ARTICLEContexts of vulnerabilities experienced by adolescents: challenges to public policies
Revista Brasileira de Enfermagem. 2020;73:e20190224
DOI 10.1590/0034-7167-2019-0224
Views0See moreABSTRACT
Objectives:
to understand the context of vulnerability experienced by adolescents from the perspective of health professionals from the Family Health Strategy.
Methods:
a descriptive-exploratory qualitative study developed with 80 Family Health Strategy professionals in the Midwest region of Brazil. Data collection was developed from July to September 2018 through a focus group, and submitted to Thematic Analysis.
Results:
it was understood that the vulnerability experienced by adolescents is not an exposure to something isolated, but is linked to risk and protection factors, socioeconomic and cultural contexts, public and health policies.
Final Considerations:
there are still gaps in public policies for this population, which impacts on the access and development of promotion actions by health professionals.
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ORIGINAL ARTICLE04-03-2020
Analysis of the guiding rules of the nurse technician’s practice in Brazil
Revista Brasileira de Enfermagem. 2020;73(3):e20180322
Abstract
ORIGINAL ARTICLEAnalysis of the guiding rules of the nurse technician’s practice in Brazil
Revista Brasileira de Enfermagem. 2020;73(3):e20180322
DOI 10.1590/0034-7167-2018-0322
Views0INTRODUCTIONThe institutionalization of nursing as a profession is characterized by the division of labor, marked by discipline and hierarchy, with the participation of several active agents, among which we can cite the nurse, the nurse technician, the nursing assistant, and the nursing attendant. The latter, although mentioned in the legislation, has been extinct since the […]See more
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